Independence Pediatric Dentistry Llc | |
651 E 24 Hwy Independence MO 64050-2974 | |
(816) 461-3661 | |
Not Available |
Full Name | Independence Pediatric Dentistry Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 651 E 24 Hwy, Independence, Missouri |
Authorized Official Name and Position | Shayna Bahr (MANAGER) |
Authorized Official Contact | 8164613661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Independence Pediatric Dentistry Llc 10800 Farley St Ste 200 Overland Park KS 66210-1444 Ph: () - | Independence Pediatric Dentistry Llc 651 E 24 Hwy Independence MO 64050-2974 Ph: (816) 461-3661 |
NPI Number | 1376058420 |
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Provider Enumeration Date | 12/12/2017 |
Last Update Date | 12/12/2017 |
Identifier | Type | State | Issuer |
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1376058420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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